| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| CHAPMAN & CHAPMAN INC3 Filed as: CHAPMAN & CHAPMAN | 2301 E AURORA RD TWINSBURGH, OH 44087 | CIGNA HEALTH AND LIFE INSURANCE CO | $11K | $0 | $11K | 2.29% |
| WALTER CHAPMAN Filed as: WALTER CHAMPERS | 2307 E AURORA RD STE B-13 TWINSBURG, OH 44087 | LIFE INSURANCE CO OF NORTH AMERICA | $8K | — | $8K | 15.00% |
| WALTER CHAPMAN | 2307 E AURORA RD STE B 13 TWINSBURG, OH 44087 | LIFE INSURANCE COMPANY OF NORTH AMERICA | $11K | — | $11K | 165.71% |
| Provider | Services | Address | Compensation |
|---|---|---|---|
| CIGNA | Contract Administrator; Claims processing; Participant communication; Direct payment from the plan; Non-monetary compensation; Other services; Float revenue; Named fiduciary Service code 12 | — | $0 |
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 479 | Currently employed and enrolled or eligible. |
| Total participants (= "Plan participants" tile) | 479 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE CO | 479 | $488K |
| Dental | CIGNA HEALTH AND LIFE INSURANCE CO | 479 | $488K |
| Life insurance | LIFE INSURANCE COMPANY OF NORTH AMERICA | 479 | $7K |
| Short-term disability | LIFE INSURANCE CO OF NORTH AMERICA | 479 | $53K |
| Prescription drug | CIGNA HEALTH AND LIFE INSURANCE CO | 479 | $488K |
| Stop-loss / reinsurancereinsurance | CIGNA HEALTH AND LIFE INSURANCE CO | 479 | $488K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 479 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.